Trial Outcomes & Findings for Evaluating High Flow Humidification Therapy in Patients With Cystic Fibrosis (NCT NCT02129803)

NCT ID: NCT02129803

Last Updated: 2021-01-06

Results Overview

The Cystic Fibrosis Questionnaire-Revised (CFQ-R) is a validated health-related quality of life measure for CF that meets US Food and Drug Administration psychometric requirements for patient reported outcomes. It contains both generic and CF-specific scales and has demonstrated responsiveness in previous clinical studies. Scores range from 0 to 100 with higher scores indicating better health.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

24 participants

Primary outcome timeframe

Day 0 to Day 6 or upon discharge from the hospital, whichever comes first

Results posted on

2021-01-06

Participant Flow

Participant milestones

Participant milestones
Measure
Experimental Therapy
High-Flow, 20 LPM (via Optiflow cannula) Heated (34C) Humidified Air High-Flow, 20 LPM (via Optiflow cannula): Nasal high flow humidification (20LPM) therapy will be administered using Optiflow with Airvo 2.
Control Therapy (Low Flow)
Low FLow, 5 LPM (via Optiflow cannula) Room Temperature (23-26C) Ambient Air Low FLow, 5 LPM (via Optiflow cannula): standard humidified wall medical air.
Overall Study
STARTED
12
12
Overall Study
COMPLETED
6
9
Overall Study
NOT COMPLETED
6
3

Reasons for withdrawal

Reasons for withdrawal
Measure
Experimental Therapy
High-Flow, 20 LPM (via Optiflow cannula) Heated (34C) Humidified Air High-Flow, 20 LPM (via Optiflow cannula): Nasal high flow humidification (20LPM) therapy will be administered using Optiflow with Airvo 2.
Control Therapy (Low Flow)
Low FLow, 5 LPM (via Optiflow cannula) Room Temperature (23-26C) Ambient Air Low FLow, 5 LPM (via Optiflow cannula): standard humidified wall medical air.
Overall Study
Protocol Violation
4
0
Overall Study
Physician Decision
0
1
Overall Study
Difficulty sleeping
1
0
Overall Study
Morning headache
0
1
Overall Study
Withdrawal by Subject
1
1

Baseline Characteristics

Evaluating High Flow Humidification Therapy in Patients With Cystic Fibrosis

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Experimental Therapy
n=12 Participants
High-Flow, 20 LPM (via Optiflow cannula) Heated (34C) Humidified Air High-Flow, 20 LPM (via Optiflow cannula): Nasal high flow humidification (20LPM) therapy will be administered using Optiflow with Airvo 2.
Control Therapy (Low Flow)
n=12 Participants
Low FLow, 5 LPM (via Optiflow cannula) Room Temperature (23-26C) Ambient Air Low FLow, 5 LPM (via Optiflow cannula): standard humidified wall medical air.
Total
n=24 Participants
Total of all reporting groups
Age, Continuous
19.4 years
STANDARD_DEVIATION 5.4 • n=5 Participants
21.7 years
STANDARD_DEVIATION 6.7 • n=7 Participants
20.5 years
STANDARD_DEVIATION 6.1 • n=5 Participants
Sex: Female, Male
Female
5 Participants
n=5 Participants
8 Participants
n=7 Participants
13 Participants
n=5 Participants
Sex: Female, Male
Male
7 Participants
n=5 Participants
4 Participants
n=7 Participants
11 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
11 Participants
n=5 Participants
12 Participants
n=7 Participants
23 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Asian
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
4 Participants
n=5 Participants
2 Participants
n=7 Participants
6 Participants
n=5 Participants
Race (NIH/OMB)
White
8 Participants
n=5 Participants
9 Participants
n=7 Participants
17 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
12 participants
n=5 Participants
12 participants
n=7 Participants
24 participants
n=5 Participants

PRIMARY outcome

Timeframe: Day 0 to Day 6 or upon discharge from the hospital, whichever comes first

Population: Results could not be reported for 4 participants due to missing baseline data in one case, missing followup data in one case, and no CFQ-R data in two cases.

The Cystic Fibrosis Questionnaire-Revised (CFQ-R) is a validated health-related quality of life measure for CF that meets US Food and Drug Administration psychometric requirements for patient reported outcomes. It contains both generic and CF-specific scales and has demonstrated responsiveness in previous clinical studies. Scores range from 0 to 100 with higher scores indicating better health.

Outcome measures

Outcome measures
Measure
Experimental Therapy
n=3 Participants
High-Flow, 20 LPM (via Optiflow cannula) Heated (34C) Humidified Air High-Flow, 20 LPM (via Optiflow cannula): Nasal high flow humidification (20LPM) therapy will be administered using Optiflow with Airvo 2.
Control Therapy (Low Flow)
n=8 Participants
Low FLow, 5 LPM (via Optiflow cannula) Room Temperature (23-26C) Ambient Air Low FLow, 5 LPM (via Optiflow cannula): standard humidified wall medical air.
Change in Cystic Fibrosis Questionnaire-Revised (CFQ-R)
Physical functioning subscale
0.056 change in score on a scale
Standard Deviation 0.105
0.052 change in score on a scale
Standard Deviation 0.152
Change in Cystic Fibrosis Questionnaire-Revised (CFQ-R)
Vitality subscale
0.192 change in score on a scale
Standard Deviation 0.139
0.194 change in score on a scale
Standard Deviation 0.115
Change in Cystic Fibrosis Questionnaire-Revised (CFQ-R)
Emotional state subscale
-0.089 change in score on a scale
Standard Deviation 0.139
0.033 change in score on a scale
Standard Deviation 0.087
Change in Cystic Fibrosis Questionnaire-Revised (CFQ-R)
Social limitations subscale
-0.056 change in score on a scale
Standard Deviation 0.096
-0.028 change in score on a scale
Standard Deviation 0.154
Change in Cystic Fibrosis Questionnaire-Revised (CFQ-R)
Role limitations subscale
-0.056 change in score on a scale
Standard Deviation 0.192
0.010 change in score on a scale
Standard Deviation 0.175
Change in Cystic Fibrosis Questionnaire-Revised (CFQ-R)
Body image subscale
0.037 change in score on a scale
Standard Deviation 0.170
0.125 change in score on a scale
Standard Deviation 0.192
Change in Cystic Fibrosis Questionnaire-Revised (CFQ-R)
Eating disturbances subscale
0.037 change in score on a scale
Standard Deviation 0.280
0.097 change in score on a scale
Standard Deviation 0.162
Change in Cystic Fibrosis Questionnaire-Revised (CFQ-R)
Treatment constraints subscale
-0.037 change in score on a scale
Standard Deviation 0.170
-0.097 change in score on a scale
Standard Deviation 0.093
Change in Cystic Fibrosis Questionnaire-Revised (CFQ-R)
Respiratory symptoms subscale
0.019 change in score on a scale
Standard Deviation 0.170
-0.125 change in score on a scale
Standard Deviation 0.856
Change in Cystic Fibrosis Questionnaire-Revised (CFQ-R)
Digestive symptoms subscale
0.111 change in score on a scale
Standard Deviation 0.192
0.028 change in score on a scale
Standard Deviation 0.098
Change in Cystic Fibrosis Questionnaire-Revised (CFQ-R)
Weight subscale
-0.222 change in score on a scale
Standard Deviation 0.192
0.083 change in score on a scale
Standard Deviation 0.236
Change in Cystic Fibrosis Questionnaire-Revised (CFQ-R)
Health status subscale
-0.083 change in score on a scale
Standard Deviation 0.399
0.000 change in score on a scale
Standard Deviation 0.103

SECONDARY outcome

Timeframe: 10 minutes

Population: We were unable to collect sputum samples from the participants

Sputum is collected during pulmonary function test (PFT) to later measure the biophysical properties of cystic fibrosis sputum.

Outcome measures

Outcome data not reported

Adverse Events

Experimental Therapy

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

Control Therapy (Low Flow)

Serious events: 0 serious events
Other events: 1 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Experimental Therapy
n=6 participants at risk
High-Flow, 20 LPM (via Optiflow cannula) Heated (34C) Humidified Air High-Flow, 20 LPM (via Optiflow cannula): Nasal high flow humidification (20LPM) therapy will be administered using Optiflow with Airvo 2.
Control Therapy (Low Flow)
n=9 participants at risk
Low FLow, 5 LPM (via Optiflow cannula) Room Temperature (23-26C) Ambient Air Low FLow, 5 LPM (via Optiflow cannula): standard humidified wall medical air.
Product Issues
Nasal discomfort
33.3%
2/6 • Number of events 2 • Length of hospital stay - up to 3 months
11.1%
1/9 • Number of events 1 • Length of hospital stay - up to 3 months

Additional Information

Bruce K. Rubin MEngr, MD, MBA, FRCPC

Virginia Commonwealth University

Phone: 804 828 9604

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place